Journal of Foot & Ankle Surgery最新文献

{"title":"Author commentary on \"letter to the editor regarding\" impact of first metatarsal capital fragment translation on complication and osseous healing after minimally invasive bunionectomy'.","authors":"Christian P Frey, Sean E Higinbotham, Matthew A Gorski, Morgan R Jerabek, Kristine M Hoffman","doi":"10.1053/j.jfas.2026.08.022","DOIUrl":"10.1053/j.jfas.2026.08.022","url":null,"abstract":"","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of posterior malleolar comminution and preoperative tibiotalar subluxation/dislocation with functional outcomes after surgical treatment of trimalleolar ankle fractures.","authors":"Ahmet Demirel, Fatih Palıt, Turan Bilge Kızkapan","doi":"10.1053/j.jfas.2026.08.024","DOIUrl":"10.1053/j.jfas.2026.08.024","url":null,"abstract":"<p><strong>Background: </strong>Posterior malleolar injury features associated with function after trimalleolar ankle fracture remain incompletely defined.</p><p><strong>Purpose: </strong>To evaluate associations of posterior malleolar comminution and preoperative tibiotalar subluxation/dislocation with postoperative outcomes.</p><p><strong>Study design: </strong>Retrospective comparative study.</p><p><strong>Methods: </strong>Fifty-eight adults surgically treated for unilateral trimalleolar ankle fractures between February 2021 and June 2025 were reviewed. Preoperative radiographs and CT were assessed for morphology, comminution, and tibiotalar congruity. Comminution was defined as two or more additional fragments accompanying the main posterior malleolar fragment. Final follow-up outcomes were FADI, AOFAS Ankle-Hindfoot score, VAS pain, and ankle range of motion. Multivariable linear regression assessed adjusted associations.</p><p><strong>Results: </strong>Median follow-up was 24 months (range, 12-144). Comminution was associated with lower median FADI (79.5 versus 95; p = 0.001), lower AOFAS (79 versus 93; p = 0.001), and higher VAS (4 versus 2; p = 0.001). Plantarflexion distributions differed (p = 0.040), whereas dorsiflexion did not (p = 0.052). After adjustment for age, sex, injury energy, syndesmotic fixation, and preoperative tibiotalar incongruity, comminution remained associated with lower FADI (β = -4.494; p = 0.001), lower AOFAS (β = -4.497; p = 0.003), and higher VAS (β = 0.668; p = 0.001). Preoperative incongruity was also associated with poorer outcomes.</p><p><strong>Conclusions: </strong>Posterior malleolar comminution and preoperative tibiotalar subluxation/dislocation were associated with function and pain after adjustment. Comminution may reflect local fracture complexity and articular fragmentation rather than external trauma energy. CT assessment should consider fracture complexity and joint congruity in addition to conventional morphology and fragment size.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between limb dominance and 1st metatarsophalangeal joint arthritis.","authors":"Faraji Woodson, Jennifer Kipp, Gregory Russel, Ashleigh Wells Medda","doi":"10.1053/j.jfas.2026.08.023","DOIUrl":"10.1053/j.jfas.2026.08.023","url":null,"abstract":"<p><strong>Background: </strong>To our knowledge there is no current literature evaluating the relationship between 1st metatarsophalangeal joint (MTPJ) arthritis and limb dominance.</p><p><strong>Purpose: </strong>This proposed retrospective study sought to evaluate if a relationship exists between limb dominance and the development of 1st MTPJ arthritis.</p><p><strong>Study design: </strong>A retrospective chart review was conducted from January 1st, 2018-January 1st, 2024 on patients who underwent 1st MTPJ arthrodesis by surgeons throughout all locations at Atrium Health Wake Forest Baptist.</p><p><strong>Methods: </strong>We hypothesized that patients would develop 1st MTPJ arthritis in their dominant foot. We hypothesized that patients would develop 1st MTPJ arthritis on the ipsilateral side of their dominant hand. Patients were contacted by telephone and after consenting, were asked 4 questions to determine leg dominance and 4 questions to determine hand dominance.</p><p><strong>Inclusion criteria: </strong>Patients over the age of 18, who underwent 1st MTPJ arthrodesis for 1st MTPJ arthritis. Patients who identified as ambidextrous, and patients with hallux valgus were excluded.</p><p><strong>Results: </strong>Forty patients who met the inclusion criteria completed the telephone survey. Twenty seven of 40 patients underwent 1st MTPJ arthrodesis on their dominant foot. Twenty eight of 40 patients underwent 1st MTPJ arthrodesis on the foot ipsilateral to their dominant hand. The observed agreement for both hand and leg dominance was significantly higher than 50%, p = 0.017 and p = 0.039, respectively.</p><p><strong>Conclusion: </strong>The study shows that most patients developed 1st MTPJ arthritis in their dominant foot. Also, most patients developed 1st MTPJ arthritis on the foot ipsilateral to their dominant hand.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effectiveness of ingrown toenail treatments: Systematic review and network meta-analysis.","authors":"Daichi Morioka, Yuki Matsuoka, Keiichi Tamagawa, Shinsuke Takagi, Yosuke Tomizuka, Nana Okada, Satoru Tamura","doi":"10.1053/j.jfas.2026.08.021","DOIUrl":"10.1053/j.jfas.2026.08.021","url":null,"abstract":"<p><strong>Background: </strong>The optimal treatment for ingrown toenails remains uncertain. Previous meta-analyses have suggested that chemical matricectomy, particularly phenolization, was superior to other interventions. However, these analyses were limited to pairwise comparisons and randomized controlled trials.</p><p><strong>Purpose: </strong>To compare the effectiveness of available treatments for ingrown toenails using network meta-analysis.</p><p><strong>Study design: </strong>Systematic review and network meta-analysis.</p><p><strong>Methods: </strong>We conducted a systematic review and frequentist random-effects network meta-analysis that included randomized controlled trials and non-randomized controlled trials published between January 2001 and October 2025. Interventions were categorized as conservative treatment, toenail avulsion, chemical matricectomy, minor surgery, and conventional wedge excision surgery.</p><p><strong>Results: </strong>Forty-four studies (23 randomized controlled trials and 21 non-randomized controlled trials) involving 5,068 participants were included. Toenail avulsion was associated with the highest recurrence risk, whereas no significant differences in recurrence were observed among chemical matricectomy, minor surgery, conventional surgery, and conservative treatment. Conservative treatment was associated with the lowest pain scores and fastest recovery. Chemical matricectomy and minor surgery showed comparable outcomes for recurrence, post-procedure pain, and recovery time; however, chemical matricectomy was associated with significantly longer healing times than minor surgery and conventional wedge excision.</p><p><strong>Conclusions: </strong>Although heterogeneity was substantial for several outcomes, the findings challenge the traditional preference for chemical matricectomy, because its advantages over contemporary surgical approaches appeared less pronounced than previously reported. Minimally invasive surgical techniques may offer a favorable balance between recurrence prevention, postoperative recovery, and healing. Further studies comparing optimized chemical matricectomy protocols with contemporary surgical techniques are warranted.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperselective neurectomy versus tendo-achilles lengthening for pediatric spastic equinus: A comparative cohort study.","authors":"J Terrence Jose Jerome, G Surendran, K Thirumagal","doi":"10.1053/j.jfas.2026.08.018","DOIUrl":"10.1053/j.jfas.2026.08.018","url":null,"abstract":"<p><strong>Background: </strong>Spastic equinus is a common gait-limiting deformity in children with upper motor neuron disorders, particularly cerebral palsy. Surgical management has traditionally emphasized tendon-lengthening procedures such as tendo-Achilles lengthening (TAL), which correct structural shortening but do not address the neural mechanisms underlying spasticity. Hyperselective neurectomy (HSN) of tibial motor branches has emerged as a targeted approach to reduce focal spastic overactivity.</p><p><strong>Purpose: </strong>To describe two sequential treatment-era cohorts managed with TAL or HSN for pediatric spastic equinus and to examine whether the observed clinical and reintervention patterns support further prospective evaluation of mechanism-based surgical selection.</p><p><strong>Study design: </strong>Retrospective comparative cohort study (Level III).</p><p><strong>Methods: </strong>Two sequential treatment eras (2021-2023) from a single surgeon's practice were analyzed. The earlier cohort underwent TAL, whereas the later cohort underwent HSN of tibial motor branches to the gastrocnemius-soleus complex. Treatment selection emphasized clinical differentiation between dynamic and fixed equinus using passive ankle dorsiflexion, clonus assessment, and gait evaluation. Demographic variables, follow-up duration, and need for additional procedures were recorded.</p><p><strong>Results: </strong>Eight patients underwent TAL and ten underwent HSN. Mean age at surgery was 8.1 and 9.5 years, with mean follow-up of 26 and 23 months, respectively. Additional procedures were performed in 2 of 8 patients after TAL and 2 of 10 patients after HSN. Secondary procedures after HSN reflected staged correction of residual contracture. Clinical records documented qualitative reduction in clonus following HSN, but standardized between-group comparison was not possible.</p><p><strong>Conclusions: </strong>These preliminary findings suggest that distinguishing dynamic neural overactivity from fixed contracture may assist surgical selection and sequencing; they do not establish superiority or equivalence between HSN and TAL.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distributions of surgical and medical experiences in contemporary podiatric residency training.","authors":"Andrew J Meyr, Jeneen Elagha","doi":"10.1053/j.jfas.2026.08.014","DOIUrl":"10.1053/j.jfas.2026.08.014","url":null,"abstract":"<p><strong>Background: </strong>Direct surgical experience and exposure have served as markers of preparedness for independent practice in podiatric surgical residency training. Although minimum case requirements established by the Council on Podiatric Medical Education have standardized a baseline across training programs, these might not completely describe the extent of clinical exposure experienced during contemporary residency training. Understanding accurate operative volumes accrued during podiatric surgical residency might have implications for curriculum development, accreditation standards, and assessment of surgical preparedness.</p><p><strong>Purpose: </strong>The objective of this investigation was to quantify heterogeneity experienced by contemporary podiatric medicine and surgery residents in terms of the volume of logged clinical experiences.</p><p><strong>Study design: </strong>Epidemiologic descriptive analysis.</p><p><strong>Methods: </strong>Deidentified verified log volume totals for graduated residents from three sequential academic years (2022-2023, 2023-2024, 2024-2025 were extracted from a logging service, with descriptive analysis provided for total foot and ankle surgical cases as well as applicable subcategories of both podiatric medical and surgical experiences.</p><p><strong>Results: </strong>Across nearly all medical and surgical experiences, most podiatric residents were observed to well exceed minimum requirements, with many residents doubling and tripling these minimums.</p><p><strong>Conclusion: </strong>This information may provide insight and guide evolution in residency program curriculum development and assist program directors in performing program self-assessments.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative evaluation of surgical approaches for ingrown toenail: Outcomes of winograd variants, vandenbos, and zadik procedures in a retrospective cohort.","authors":"Ahmet Yiğitbay, Gökhan Yıldırım, Hakan Çetin, Murat Çiçeklidağ, Ayhan Özdemirci, Serhat Ekrem, Murat Yüncü, Serhat Yıldırım","doi":"10.1053/j.jfas.2026.08.017","DOIUrl":"10.1053/j.jfas.2026.08.017","url":null,"abstract":"<p><strong>Background: </strong>Onychocryptosis can be treated using several surgical techniques, but comparative evidence remains limited and is susceptible to differences in disease severity and treatment selection.</p><p><strong>Purpose: </strong>To compare recurrence and postoperative complication rates among six surgical approaches for ingrown toenail.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>A total of 798 patients (966 treated nails) who underwent surgery for ingrown toenail between June 2022 and June 2025 were included. Patients were categorized into six groups according to the surgical technique performed, including Winograd variants, the Vandenbos procedure, and the Zadik procedure. Outcomes were analyzed at the patient level; bilateral cases were recorded as bilateral but were not duplicated. Recurrence was defined as symptoms and/or nail-edge regrowth requiring further surgical intervention during postoperative weeks 8-12. Group comparisons used exact tests, and exploratory Firth-penalized logistic regression was performed for recurrence.</p><p><strong>Results: </strong>Recurrence occurred in 31 patients (3.9%). Recurrence rates ranged from 2.1% to 8.8% across groups, without a significant overall difference (exact p = 0.276). Twenty-three patients (2.9%) experienced at least one postoperative complication. Complication rates differed significantly among groups (exact p = 0.009); after Bonferroni correction, only the comparison between the Vandenbos procedure (Group 5) and the Zadik procedure (Group 6) remained significant, with a lower complication rate in the Vandenbos group (adjusted p = 0.049). In exploratory adjusted analysis, Heifetz stage III was associated with recurrence (OR, 5.04; 95% CI, 1.84-13.79).</p><p><strong>Conclusions: </strong>No significant overall difference in early recurrence was observed among the evaluated surgical techniques. Disease severity was associated with recurrence, and complication profiles differed between groups. These findings should be interpreted cautiously because of retrospective treatment allocation and limited recurrence events.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Bartoníček classification and fragment size with treatment selection and reduction quality in posterior malleolar fractures.","authors":"Yutaka Sakata, Yasuhiko Takegami, Hiroaki Nakashima, Shuji Asai, Kazuyoshi Kobayashi, Shiro Imagama","doi":"10.1053/j.jfas.2026.08.019","DOIUrl":"10.1053/j.jfas.2026.08.019","url":null,"abstract":"<p><strong>Background: </strong>Posterior fragment size has traditionally guided treatment decisions for posterior malleolar fractures, whereas computed tomography has emphasized fracture morphology.</p><p><strong>Purpose: </strong>This study evaluated the associations of the Bartoníček classification and posterior fragment size with fracture characteristics, treatment selection, and postoperative reduction quality.</p><p><strong>Study design: </strong>Retrospective multicenter study.</p><p><strong>Methods: </strong>We reviewed surgically treated ankle fractures involving the posterior malleolus from 2020 to 2022. Fractures were classified using the Bartoníček classification on preoperative computed tomography. Fracture morphology, fragment size, preoperative articular displacement, fixation procedures, and postoperative reduction quality were evaluated. Malreduction was defined as residual articular step-off or gap >1 mm.</p><p><strong>Results: </strong>Among 638 surgically treated ankle fractures, 206 met the inclusion criteria. Bartoníček type was associated with posterior fragment size, preoperative sagittal articular gap, and treatment selection, but not postoperative reduction quality. In patients without posterior malleolar fixation, malreduction increased with fragment size: 19%, 36%, and 61% in the <10%, 10%-25%, and ≥25% groups, respectively (p = 0.013). In exploratory multivariable analysis of the non-fixation cohort, fragment size ≥25% was independently associated with malreduction (OR 6.36, 95% CI 1.66-24.50).</p><p><strong>Conclusions: </strong>The Bartoníček classification reflected morphology and treatment selection, whereas fragment size was related to malreduction when the posterior malleolus was not fixed. Computed tomography-based morphology and fragment size provide complementary information.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does an adjunct Moberg osteotomy improve outcomes in patients undergoing cheilectomy for hallux rigidus? A systematic review.","authors":"Brandon Lim, Gennie Lim, Charles Kon","doi":"10.1053/j.jfas.2026.08.015","DOIUrl":"10.1053/j.jfas.2026.08.015","url":null,"abstract":"<p><strong>Background: </strong>Hallux rigidus is a progressive degenerative condition of the first metatarsophalangeal joint (MTPJ) that may be treated with joint-preserving procedures such as cheilectomy. Moberg osteotomy may additionally improve dorsiflexion and reduce dorsal joint impingement.</p><p><strong>Purpose: </strong>This systematic review aims to compare clinical outcomes between isolated cheilectomy and cheilectomy with Moberg osteotomy for hallux rigidus.</p><p><strong>Study design: </strong>Systematic review METHODS: This systematic review was conducted according to PRISMA guidelines. PubMed, Embase, Scopus, and Web of Science were searched from inception to 4 May 2026. Studies directly comparing isolated cheilectomy and cheilectomy with Moberg osteotomy for hallux rigidus were included. Quality assessment was performed using the Newcastle-Ottawa Scale (NOS).</p><p><strong>Results: </strong>Three retrospective comparative cohort studies comprising 282 patients (284 first MTPJs) were included. Both isolated cheilectomy and cheilectomy with Moberg osteotomy demonstrated significant postoperative improvement in patient-reported outcome measures (PROMs). However, there were no consistent differences in final postoperative PROMs between groups. Complication and revision rates were generally low, with no consistent evidence demonstrating increased complications following adjunct Moberg osteotomy. Considerable heterogeneity existed in operative decision-making algorithms, operative techniques, and rehabilitation protocols.</p><p><strong>Conclusions: </strong>Both isolated cheilectomy and cheilectomy with Moberg osteotomy produce significant postoperative improvement in hallux rigidus. However, adjunct Moberg osteotomy did not demonstrate consistent superiority with respect to postoperative patient-reported outcomes, complication rates, or reoperation rates. Further prospective comparative studies with standardized operative indications, rehabilitation protocols, and outcome reporting are required to better define the role of adjunct Moberg osteotomy in the management of hallux rigidus.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between sesamoid position and long-term outcomes following triplanar tarsometatarsal arthrodesis at 4-year follow-up.","authors":"Daniel J Hatch, Avneesh Chhabra, Paul D Dayton, Mindi Dayton, Daniel C Farber, George Liu, J P McAleer, Abdi Raissi, Robert D Santrock, Robert P Taylor, Jennifer Koay White, Dane Wukich","doi":"10.1053/j.jfas.2026.08.011","DOIUrl":"10.1053/j.jfas.2026.08.011","url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus (HV) is recognized as a triplanar foot deformity with optimal surgical results achieved when all three planes are addressed. We have previously reported on an ongoing 5-year, prospective, multicenter, clinical study using instrumented correction of the first tarsometatarsal joint (1st TMT) in patients with HV.</p><p><strong>Purpose: </strong>This report details interim 48-month results of this study, evaluating the impact of early postoperative tibial sesamoid position (TSP) on radiographic recurrence (postoperative hallux valgus angle (HVA) measurements of >15°), and whether radiographic recurrence impacted patient-reported outcomes.</p><p><strong>Study design: </strong>One hundred seventy-three patients were included in this multicenter study, of whom 146 patients achieved their 48-month visit. Radiographic parameters were presented at baseline, 6 weeks and 48 months. This included intermetatarsal angle (IMA) along with TSP and HVA.</p><p><strong>Methods: </strong>Institutional review board approval was obtained for each study site. A consecutive cohort of patients were enrolled from November 2018 to April 2021 who received 1st TMT arthrodesis to correct their hallux valgus deformity. Inclusion and exclusion criteria were established.</p><p><strong>Results: </strong>At the 48-month follow-up, 12 patients (8.2%) had radiographic recurrence with an HVA>15°. Evaluation of TSP position at 6-weeks postoperative found that a TSP≤ 3 reduced the likelihood of recurrence by 95% compared to a TSP>3.</p><p><strong>Conclusion: </strong>The results of this interim analysis suggest that initial correction of axial rotation and sesamoid position of the first ray is important in maintaining correction long term and favorable patient reported outcomes.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}